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General NPI Number Information
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NPI Number | 1992360531
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Entity Type | Individual
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Provider Name | ANGELA FESSLER LCSW, CSAC
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Gender | Female
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Dates
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Enumeration Date | 05/09/2019
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 313 PRICE PL STE 208
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City | MADISON
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State | WI
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Zip | 53705-3262
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Country | US
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Telephone | 608-571-3866
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Fax |
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Provider Business Mailing Address
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Address Line | 1052 E ELMWOOD AVE
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City | BELOIT
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State | WI
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Zip | 53511-2410
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Country | US
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Telephone | 608-289-7064
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 134074
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 18191-130
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License Number State | WI
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